怀孕期间的环境暴露和风险
Sarah M Schlein1, Elaine M Reno2, Christanne H Coffey3
1Larner College of Medicine, University of Vermont, Burlington, VT.
Wilderness & environmental medicine
|May 6, 2024
概括
孕妇可以安全地享受户外活动,但应该意识到环境风险. 本综述综合了关于怀孕在荒野环境中的证据,涵盖高度,温度和野生动物暴露.
科学领域:
- 荒野医学 荒野医学
- 母胎生理学 母胎生理学
- 环境健康 环境健康
背景情况:
- 对于许多关于怀孕期间环境暴露的建议存在有限的证据.
- 基于意见的建议是常见的,缺乏强有力的科学支持.
- 了解孕妇户外活动的风险和益处至关重要.
研究的目的:
- 在荒野环境中对怀孕个体的考虑进行叙事审查.
- 确定和评估有关怀孕期间环境暴露的最佳可用证据.
- 为了解决极端户外环境中怀孕的特殊问题.
主要方法:
- 进行了叙事文学评论.
- 包括观察性研究,病例系列和有限的受控试验.
- 从生理学数据和评估的专家共识中推断出来.
主要成果:
- 接触自然环境可以改善怀孕结果和母亲的健康.
- 孕妇的风险与非孕妇的风险相似,增加了母胎和疏散挑战.
- 具体问题包括高海拔,低温,高热,闪电和毒性.
结论:
- 在荒野环境中,孕妇需要基于证据的指导.
- 平衡自然暴露的好处与潜在风险是必不可少的.
- 进一步的研究应该集中在极端环境中的母胎生理学上.
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